Individual
MRS. TRACY GANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10 E HOSPITAL STREET, ANESTHESIA DEPARTMENT, MANNING, SC 29102
(803) 435-8463
Mailing address
10 E HOSPITAL STREET, ANESTHESIA DEPARTMENT, MANNING, SC 29102
(803) 435-8463
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN2641
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2641
LICENSE
SC
05
—
AN1441
—
SC
Enumeration date
03/24/2006
Last updated
11/19/2014
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